Active NPI
Roberto Olivarez Jr., O.D.
- Optometrist
- McAllen, TX
National Provider Identifier
1144395302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3517 TG
- Practice address
- 6900 N 10TH St
Suite 5
McAllen, TX 78504-3198 - Phone
- (956) 664-0240
- Fax
- (956) 664-0185
- NPI assigned
- Nov 22, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3517 TG | TX | Primary |
Addresses
Primary practice location
6900 N 10TH St
Suite 5
McAllen, TX 78504-3198
Mailing address
6900 N 10TH St
Suite 5
McAllen, TX 78504-3198
Phone (956) 664-0240
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 093559503 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121004000065 | TX | Practitioner - Optometry | 4284883414 | Practice locations: McAllen, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Houston - College of Optometry, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6900 N 10TH St
Suite 5
McAllen, TX 78504-3151
Phone (956) 664-0240
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3517 TG | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roberto Olivarez Optometrist | Optometrist | Current | Accepting new patients |
Locations
6900 N 10th St
Ste 5
McAllen, TX 78504
Phone (956) 664-0240
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- McAllen, TX
- NPI 1548147374
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1144395302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6900 N 10TH ST",
"address_2": "SUITE 5",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785043198",
"telephone_number": "956-664-0240",
"fax_number": "956-664-0185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6900 N 10TH ST",
"address_2": "SUITE 5",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785043198",
"telephone_number": "956-664-0240",
"fax_number": "956-664-0185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVAREZ",
"first_name": "ROBERTO",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "3517 TG",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "093559503",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in McAllen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.